Information Collection

Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization

IC 240692 under ICR 201703-0990-003 · OMB 0990-0459.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Document Name Document Type
0990-0459 HHS Health Messages Focus Group Protocol.3_11_20.docx Other-Focus Group
0990-0459 MEMO_FastTrack Tailor Health Messaging to Address Racial and Ethnic _ 03.11.20.docx memo IC Document
0990-0459 Email and Telephone Invite_Tailor Health.docx email invitation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tailor Health Messaging to Address Racial and Ethnic Disparities in Adult Immunization	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group			0990-0459 HHS Health Messages Focus Group Protocol.3_11_20.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0459 MEMO_FastTrack Tailor Health Messaging to Address Racial and Ethnic _ 03.11.20.docx	03/11/2020
email invitation	0990-0459 Email and Telephone Invite_Tailor Health.docx	03/11/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.